Many complex infectious diseases cases are encountered at the Tikur
Anbessa Hospital, the largest tertiary care and referral centre in
Ethiopia. In addition to the high burden of HIV and opportunistic
infections, particularly cryptococcosis and TB, visiting fellows will have
exposure to a wide range of clinical cases including relapsing fever and
leishmaniasis. A major challenge of this rotation is to learn how to manage
complex ID cases with limited microbiological data and other laboratory
resources.

Expected Length of Observership: Between 2-4
weeks, other durations negotiable.

Application
Requirements:

Applicants should send a cover letter
detailing their objectives and an updated CV. The complete application
should be sent directly to the local program director and the external
coordinator. Rotations should be planned with a minimum of 3 months
advance. Visiting fellowships have to be approved by the Department of
Medicine Addis Ababa University.

Costs/Fees, Housing and
Logistics:

There is no university housing available for
visiting fellows; however a number of hotels and guest houses are available
within reasonable proximity to the hospital. Administrative or university
fees are not imposed on visiting fellows, but transport, housing and all
living expenses are the sole responsibility of the visiting fellow and
expenses are not funded by the university or the hospital.

University of Cape Town Infectious Diseases Unit - South Africa

Professor Marc Mendelson

80% of the work of
the Infectious Diseases unit is HIV-related, with extremely high levels
of HIV-TB coinfected patients. Full range of developing country HIV-OI
comorbidities. General ID an increasing focus of the Unit, with hospital-wide
antibiotic stewardship program, and outreach to several secondary level
hospitals and district hospitals providing specialist tuberculosis services.
Small renal transplant program including HIV+/+ transplants. GeoSentinel
Travel Surveillance Network Site.

Adult or Pediatric
ID?: Adult

Length of Observership: 1-4 weeks
ideal, but other durations negotiable

Patient Interactions
with Observer:

Interview and examination. Not allowed to
perform invasive procedures as an observer.

Application
Requirements:

Applications directly to Program Director
including CV and objectives. Suggest 3-6 months in advance. Visa details
will depend on country of citizenship.

Housing
Availability:

Local hostels in close proximity to the
hospital. No official University of Cape Town accommodation available.

Cost/Fees Associated with Observership:

No
University fees. Cost of observership is entirely the responsibility of the
fellow. There is no funding available for transport, accommodation or
daily living expenses.

Participants join the Infectious Diseases team in the daily clinical
activities of the Department of Infectious Diseases and Tropical Medicine of
Cayetano Heredia Hospital that includes activities with out-and
in-patients.

Clinical Opportunities:

General
infectious diseases and tropical medicine

Adult or Pediatric
ID: Adult

Length of Observership: Up to the
participant, during May to November

Description of Patient
Interactions:

Observers can interview and examine
patients

Application Requirements:

An email
stating the period of the year requested, a photograph, and a copy of
passport are required. Acceptance will be entirely on a first come-basis.
U.S. citzens do not require a visa.

Housing
Availability:

We will provide a list of optionsl most of the
options are family houses of former-UPCH medical students. Support will be
provided in locating the best available housing options. For a family
house the cost will be around $300 USD a month. UPCH offers housing at
$600 USD a month. Daily cost for meals is approximately $10 USD a day and
public transport is $2 USD a day in Lima.

Rotating fellows
will work with the general ID inpatient service as well as be involved
in the clinics. As the Aga Khan University Hospital (AKUH) is
a large tertiary-care, multi-disciplinary, referral
center, in addition to seeing complex general ID infections,
fellows should expect to see a variety of endemic infections such
as malaria, dengue, and enteric fever as well as infections due to
resistant (predominant gram negative) pathogens. Moreover, ID
fellows will be involved in the care of a large variety of
extrapulonary TB, which form the bulk of the patients
presenting to the ID clinics. However if more exposure to TB
management is required, arrangements can be made to also rotate
at a large MDR-TB treatment center which provided
DOTS-plus therapy. Finally while rotating at the AKUH, fellows
will be expected to be involved in the hospital
epidemiology, infections control and antibiotic stewardship
activities.

Observers can interview and examine patients
and will also have unrestricted accesses to the records of
patients they are evaluating. However, observers cannot
perform any procedures.

Application
Requirements:

Visa to Pakistan can take up to 4
weeks. Given the high occupancy of the university managed
hostels, it is advisable to request this 3 months in
advance.

Housing Availability:

On campus
(in the male or female dormitory) and off campus
university managed hostels are available, though space is
often limited. In case of off campus accommodation, a
pick-up and drop-off service is provided. The estimated
cost for accommodation is US $130 per month and
includes transportation (if off campus) but not
meals.

The observer
will be expected to produce a log-book of interesting cases seen during the
fellowship. There may be a possibility of a brief clinical project.

Adult or Pediatric ID: Adult

Length of
Observership: 1-2 months

Patient Interactions with
Observer:

No restrictions

Application
Requirements:

A general permission from the hospital will be
obtained, after that there are no time constraints for the start of the
observership, apart from visa etc.

We have a 1 week intensive course in
ID in September (IDCC). This includes ward rounds, microbiology rounds,
invited lectures, discussion on archived cases, MCQ sessions, panel
discussions, case presentation by attendees etc. The observership may be best
at a time which includes this course.

Housing
Availability:

Housing can be arranged at a nearby hotel but
will need to be paid for by the individual observer. The approximate tariff
may be US $100 to $150.

Cost/Fees Associated with
Observership:

The fees for IDCC are approximately US
$150-$200. There are no other costs involved in the fellowship.